Individual registration form for the EBSN General Assembly and Annual Conference in Ljubljana, Slovenia 1st – 3rd of June, 2016 “National Policy – Local Implementation”

Individual registration form for the EBSN General Assembly and Annual Conference in Ljubljana, Slovenia 1st – 3rd of June, 2016 “National Policy – Local Implementation”

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{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}27 - First Name:{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}28 - Last Name:{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}5 - E-mail:{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}30 - Phone (format: +3613990772):{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}7 - Represented organisation / institution:{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}8 - My institution is an EBSN member or preliminary member{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}9 - I am participating on the EBSN Capacity Building course, containing also other activities beside to the conference{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}10 - custom_10{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}11 - Invoice address:{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}17 - I will attend the General Assembly (1st of June, 14.00 – 18.00){45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}18 - Need for space in the “Conference Market Area” (will be contacted by the Secretariat about details) {45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}19 - custom_19{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
{45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}20 - Additional information (dietary requirements, arriving later or leaving the conference before its end etc.){45dd1fd917f9c5256ddd62f2bb60264c9fd035a788f5039a41e25e9de2257d18}
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